Florida Shores of Melbourne Assisted Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8648 Issued in FL

Legal business name

FLORIDA SHORES OF MELBOURNE ASSISTED LIVING INC.

Practice address

1065 Garden Rd
Merritt Island, FL 32952-5075

Phone

(646) 541-5552

NPI assigned

Oct 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irene Uy Mercado

Title

Secretary

Phone

(646) 541-5552

Specialties & licenses 1

Addresses

Other names 1

• Smiles And Loving Care Doing business as

Tax ID family

Florida Shores of Melbourne 1 Alf2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Shores of Melbourne Assisted Living Inc.

  • Assisted Living Facility
  • Melbourne, FL
  • NPI 1710229976
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1144539503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 KEYSTONE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329046146",
            "telephone_number": "646-541-5552",
            "fax_number": "321-951-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 GARDEN RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525075",
            "telephone_number": "646-541-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SHORES OF MELBOURNE ASSISTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "UY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "646-541-5552"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles And Loving Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Clay Flinn, D.C.
• Kimberly Michelle Florescu
• Florida Care Services, LLC
• Florida Prosthodontics PA
• Florida Providers Billing Service, Co
• Denise A Foley, PHARMD
• Christine Sophia Folkes, LPN
• Terry Lee Follett, LMFT
• Lani Mei Fong, MD
• Kent Maxwell Foster, D.O

• Assisted Living Facility in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.